A young child with fever, erythematous rash, and conjunctivitis in sub-Saharan Africa is usually a case of measles. We report a-14-month-old girl with a prolonged fever, a desquamating erythematous rash, and a new left hemiplegia. This was initially diagnosed as measles but her correct final diagnosis was Kawasaki disease (KD); she very rapidly defervesced and regained normal function of her limbs after appropriate treatment. We believe this is the first reported case in Liberia of KD in a child younger than two years of age.
de GraeffN, et al.European consensus-based recommendations for the diagnosis and treatment of kawasaki disease - the SHARE initiative. Rheumatology2019; 58: 672–682.
3.
FriterBS, et al.The perineal eruption of kawasaki syndrome. Arch Dermatol1988; 124: 1805–1810.
4.
LaxerRM, et al.Acute hemiplegia in kawasaki disease and infantile polyarthritis Nodosa. Dev Med Child Neurol1984; 26: 814–818.
5.
GitiauxC, et al.Cerebral vasculitis in severe kawasaki disease. Dev Med Child Neurol2012; 54: 1160–1163.
